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Optimalisasi Penemuan Kasus Tuberkulosis melalui Skrining, Analisis Faktor Penghambat dan Penyuluhan Kesehatan Agustin, Sinta Rahmah; Sulianto, Shafira Pramesya; Sinaga, Evi Susanti; Pertiwi, Kartika Putri
Jurnal Pengabdian Kesehatan Vol 9, No 2 (2026): Jurnal Pengabdian Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jpk.v9i2.593

Abstract

Tuberkulosis (TBC) merupakan penyakit infeksi menular yang disebabkan oleh Mycobacterium tuberculosis dan hingga saat ini masih menjadi tantangan serius dalam kesehatan masyarakat. Salah satu indikator utama keberhasilan program pengendalian TBC adalah Persentase Cakupan Penemuan dan Pengobatan TBC (treatment coverage), yang menggambarkan kemampuan sistem kesehatan dalam menemukan dan mengobati kasus TBC secara tepat. Kegiatan pengabdian kepada masyarakat ini dilaksanakan melalui tiga tahapan, yaitu skrining TBC, analisis faktor risiko yang menghambat penemuan kasus, serta penyuluhan kesehatan mengenai tuberkulosis. Sasaran kegiatan adalah 55 orang masyarakat yang berdomisili di Kelurahan Manggarai Selatan. Hasil kegiatan menunjukkan bahwa terdapat 1 kasus positif tuberkulosis yang berhasil ditemukan melalui skrining. Selain itu, stigma terhadap TBC teridentifikasi sebagai salah satu faktor utama yang menghambat penemuan kasus di masyarakat. Setelah dilakukan penyuluhan, terdapat peningkatan pengetahuan masyarakat terkait TBC. Diharapkan kegiatan skrining dan penyuluhan TBC dilakukan secara berkelanjutan dengan melibatkan kader kesehatan dan tokoh masyarakat guna mengurangi stigma serta meningkatkan penemuan kasus secara lebih optimal.  
Sociodemographic determinants and mosquito nest eradication practices of dengue hemorrhagic fever in indonesia: Findings from the Indonesian Health Survey 2023 Lestari, Ikrimah Diyan; Sinaga, Evi Susanti
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2494

Abstract

Background: Dengue Hemorrhagic Fever (DHF) is widely distributed in tropical regions and remains a public health concern in Indonesia In 2023, Indonesia reported 114,720 DHF cases with 894 deaths. The occurrence of DHF is influenced by multiple factors, including environmental conditions and community behavior that can be modified through prevention efforts. Puspose: To analyze the association between sociodemographic factors and mosquito nest eradication behavior with the prevalence of DHF in Indonesia. Method: This study employed a cross-sectional design using secondary data from the Indonesian Health Survey 2023, involving 877,531 respondents. Statistical analysis was performed using the Pearson Chi-Square test. Results: There is a significant association between age, place of residence, covering water storage containers, destroying used items, applying larvicide powder to water storage containers, installing mosquito nets on house ventilation, and using mosquito repellents with the prevalence of DHF (p <0.05). Meanwhile, gender, education, and draining bathtubs/large buckets/drums were not significantly associated with the prevalence of DHF (p >0.05). Conclusion: Sociodemographic factors, including age and place of residence, as well as mosquito nest eradication behaviors covering water storage containers, destroying used items, applying larvicide powder to water storage containers, installing mosquito nets on house ventilation, and using mosquito repellents were significantly associated with DHF prevalence. Based on these results, strengthening targeted mosquito nest eradication interventions and public health programs that consider age and residential characteristics is recommended to support DHF prevention efforts in Indonesia.
Pencegahan Kebiasaan Merokok di Dalam Rumah Melalui Upaya “GERAK MASBRO” Dian Utami; Qonita Adzkia; Ucha Maulana; Evi Susanti Sinaga
AMMA : Jurnal Pengabdian Masyarakat Vol. 3 No. 6 : Juli (2024): AMMA : Jurnal Pengabdian Masyarakat
Publisher : CV. Multi Kreasi Media

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Abstract

Smoking behavior in Indonesia is a major concern because of its impact on public health, especially with the increase in the number of adult smokers from 60,3 million in 2011 to 70,2 million in 2021 and the prevalence of smoking in adolescents aged 10-18 years from 7,2% to 9,1% in 2018. Men dominate adult smokers with a prevalence of 64,7%, while women are 2,3%. Smoking at home has a significant impact on the health of family members, especially women and children who are more vulnerable to exposure to passive cigarette smoke. Data shows that 56,8% of households are exposed to cigarette smoke, which increases the risk of heart disease, COPD, asthma, cancer, pneumonia, bronchitis, and SIDS. Therefore, education about the dangers of smoking at home is needed. This community service activity aims to increase public knowledge about the dangerous impacts of cigarette smoke and efforts to stop smoking at home through "GERAK MASBRO", namely the smoke-free community movement. Increasing knowledge through counseling, educational media, and the establishment of smoking huts can raise public awareness so that they can prevent smoking habits at home.
Determinants of medication non-adherence among pulmonary tuberculosis patients: A cross-sectional secondary data analysis Naila Farsya; Evi Susanti Sinaga
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 3 (2026): Volume 9 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i3.2520

Abstract

Background: Pulmonary tuberculosis is an infectious disease that remains as a major public health problem in Indonesia. Successful tuberculosis treatment largely depends on patients’ adherence to regular and continuous medication intake. Medication adherence behavior can be classified into adherence and non-adherence, with the medication non-adherence behavior increasing the risk of treatment failure, drug resistance, disease relapse, and ongoing transmission. This behavior is determined by a range of factors operating at the individual, social, and health system levels. Purpose: To analyze the determinants associated with medication non-adherence behavior among pulmonary tuberculosis patients based on data from the 2023 Indonesian Health Survey. Method: A cross-sectional observational study was conducted using secondary data from the 2023 Indonesian Health Survey, including 2,435 respondents, all of whom were pulmonary tuberculosis patients recorded in the SKI 2023 dataset. Independent variables consist of predisposing factors (age, gender, education, employment status, place of residence, perception of being cured, use of traditional medicine, intolerance to drug side effects, and boredom or reluctance to take medication regularly), enabling factors (limited availability of medication), and reinforcing factors (presence of a treatment supervisor). Medication non-adherence behavior was the dependent variable in this study and the bivariate analysis was performed using chi-square tests, with statistical significance set at p < 0.05. Results: The findings showed significant associations between medication non-adherence behavior and several predisposing, enabling, and reinforcing factors (p < 0.05). Predisposing factors significantly associated with irregular medication intake including age, education, employment status, place of residence, perception of being cured, use of traditional medicine, intolerance to drug side effects, and boredom or reluctance to take medication regularly. Enabling factors, particularly limited availability of anti-tuberculosis medication at health facilities, were also significantly associated with irregular medication-taking behavior. In addition, reinforcing factors, namely the absence of a treatment supervisor, showed a significant association with irregular medication taking behavior. Conclusion: Medication non-adherence behavior among pulmonary tuberculosis patients is influenced by predisposing, enabling, and reinforcing factors. Improving treatment adherence requires comprehensive strategies, including strengthened patient education, improved access and availability of tuberculosis services, and strengthened treatment supervision through the presence of a treatment supervisor.